NPIMap

Organization Active NPI

Midwest Diagnostics Incorporated

  • Physiological Laboratory
  • Mt Prospect, IL
National Provider Identifier
1174901920
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MIDWEST DIAGNOSTICS INCORPORATED
Practice address
1555 S Redwood Dr
Mt Prospect, IL 60056-4906
Phone
(630) 847-2080
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adnan Ahmed
Title
President
Phone
(630) 847-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1555 S Redwood Dr
Mt Prospect, IL 60056-4906

Mailing address

1555 S Redwood Dr
Mt Prospect, IL 60056-4906
Phone (630) 847-2080

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1174901920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 S REDWOOD DR",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564906",
            "telephone_number": "630-847-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S REDWOOD DR",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564906",
            "telephone_number": "630-847-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIAGNOSTICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-847-2080"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.